Variantes pathogènes de la germe BRCA1 dans le carcinome ovarien épithélial...
Vue déterministe de l'entité source de la LJAM. L'autorité clinique demeure avec les ID de la source cités et l'état d'approbation de l ́examinateur.
| ID | BMA-BRCA1-GERMLINE-OVARIAN |
|---|---|
| Type | Pertinence thérapeutique |
| État | reviewed 2026-04-27 | pending_clinical_signoff | actionability review required |
| Maladies | DIS-OVARIAN |
| Sources | SRC-CIVIC SRC-ESMO-OVARIAN-2024 SRC-NCCN-OVARIAN-2025 |
Faits relatifs à l ' action en justice
| Biomarqueur | BIO-BRCA1-BRCA2-GERMLINE |
|---|---|
| Variante | Lignée germinale BRCA1 pathogène |
| Maladie | DIS-OVARIAN |
| Niveau ESCAT | IA |
| Combinaisons recommandées | olaparib monotherapy maintenance, niraparib monotherapy maintenance, rucaparib monotherapy maintenance, olaparib + bevacizumab (PAOLA-1, HRD+) |
| Résumé des faits | BRCA1 germline pathogenic variants in advanced epithelial ovarian carcinoma (incl. fallopian-tube and primary peritoneal): olaparib maintenance after platinum-response in 1L (SOLO1, Moore 2018) yields ~70% reduction in progression risk; niraparib (NOVA, Mirza 2016) and rucaparib (ARIEL3) extend PFS in platinum-sensitive recurrence. ESCAT IA / OncoKB Level 1. |
Notes
Germline finding mandates cascade testing for first-degree relatives. Includes primary peritoneal and fallopian-tube carcinomas (treated as ovarian- equivalent). PAOLA-1 supports olaparib+bev in HRD-positive (BRCA-mutant subset benefits most).
Utilisé par
No reverse references found in the YAML corpus.